Autism Education Center ~ GVSU START Project
401 W Fulton St. – 318C DEV
Grand Rapids, MI 49504-6431
P: 616-331-6480
START Regional Collaborative Network (RCN)
Contract Reporting Requirements for 2011-2012
START Requires RCN Grant Reports Twice Yearly:
1. Mid-Year – A Narrative and a Financial Expenditure Report with an Invoice for
Expenditures to date (expenses only, no advanced funding).
(Due Date: March 5, 2012)
2. End of the School/Contract Year – A Narrative and a Final Financial Expenditure
Close out Report. Also submit an invoice for all Expenditures not Reimbursed to date.
(Due Date: July 23, 2012)
End of Year Reports must include both a Narrative Report (see forms below) and a
Financial Expenditure Report. A Financial Expenditure Report must be a finance report
from your Business/Finance office for your actual expenditures to date.
You may also send an invoice requesting reimbursement for actual expenditures charged to
your RCN contract. Please Note: START will not advance funding under RCN contracts.
START will ONLY reimburse for actual expenditures to date. Also, just a reminder that your
invoice for reimbursement of expenditures must be on letterhead dated and signed.
Send Narrative Reports and Financial Expenditure Reports electronically to Melissa Adair at
adairm@gvsu.edu .
You may also send a hard copy of all other information such as attachments such as
newsletters, flyers, testimonials etc. to the START Office address below.
GVSU - Autism Education Center
401 W. Fulton – 388C DEV
Grand Rapids, MI 49504
Attn: Melissa Adair
adairm@gvsu.edu
P: 616-331-6483
F: 616-331-6486
Send any budget modification requests to Judith McKenna Shea at sheaj@gvsu.edu
START Regional Collaborative Network Report
End of Year (Due by July 23, 2012)
Report Date
RCN Name
RCN Contact completing report
1. Regional Collaborative Network (RCN):
OVERALL PROGRESS on Goals:
Ahead of goal(s)
On schedule as expected
Behind expectations – Explain:
2. RCN Financial Status:
Attach financial report / summary of expenditures to date
Attach invoice for reimbursement of expenditures to date
On target for expenditures
Expect under expenditure of $
to be returned to START
3. Professional Development with Impact ~ GOAL #1
Effective Practice Leadership Initiative (EPLI):
TRAINER / COACHES:
total # of ACTIVE (presenting in the current year) START Trainer/Coaches
of approved START Trainer/Coaches, # approved this year (’11-12 school year)
PD with Impact:
# of mini / Regional IT Training Teams to date
# of Teams with parent as an active member of their Regional IT Team
Total # of attendees at Regional IT to date
List the Districts/Buildings participating in Regional IT to date (’11-12 school year)
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# of Regional IT training days to date (‘11-12 school year)
OTHER TRAINING in the RCN:
# of other START trainings (1/2 or full day) presented at the Regional, County or
District level to date
# of persons trained to date (‘11-12 school year) with Other Training in the RCN
EPLI TRAINER/COACHES: complete & attach
RCN START Training Data Tool, (roster listing all trainings completed by your
approved Trainer/Coaches to date.)
4. COACHING TO IMPROVE IMPLEMENTATION FIDELITY ~ GOAL #2
Your Capacity Building Planning Tool report is a required report for your RCN.
START Capacity Building Planning Tool (complete & attach)
Online USAPT
# of buildings who completed the online USAPT for Fall 2012
5. IMPLEMENTATION OF EVIDENCE-BASED PRACTICES (EBP) ~ GOAL #3
Please identify the 2 EBPs that your RCN is working to implement:
#1 EBP Name:
ISD / District / Buildings
Contact Information (Name / Email)
#2 EBP Name:
ISD / District / Buildings
Contact Information (Name / Email)
6. POST-SECONDARY TRANSITION PILOT PROJECT ~ GOAL #4
Please provide information on the 4 students your RCN has chosen for Transition:
Student #1
Student Initials:
District:
Focus Outcome Area for the Student:
Employment
Housing Options
Community and Leisure Activities
College / Technical Education
Key Contact:
(name / email)
Progress to date:
Process Progress
Identified 5 Year Transition Goal
Portfolio/Assessment
Baseline Data
Completed
In Progress
Not Started
Parent / Community Partner Involvement:
Parent / Family
Parent Organization
Community Mental Health
Michigan Rehab Services
College / University
Community Organizations (eg. YMCA, library, food banks, community rec, etc.)
OTHER (describe):
Who will be responsible for developing the poster for this student and presenting at the START
Leadership Day on April 26, 2012 :
Student #2
Student Initials:
District:
Key Contact:
(name / email)
Focus Outcome Area for the Student:
Employment
Housing Options
Community and Leisure Activities
College / Technical Education
Progress to date:
Process Progress
Identified 5 Year Transition Goal
Portfolio/Assessment
Baseline Data
Completed
In Progress
Not Started
Parent / Community Partner Involvement:
Parent / Family
Parent Organization
Community Mental Health
Michigan Rehab Services
College / University
Community Organizations (eg. YMCA, library, food banks, community rec, etc.)
OTHER (describe):
Who will be responsible for developing the poster for this student and presenting at the START
Leadership Day on April 26, 2012:
Student #3
Student Initials:
District:
Key Contact:
(name / email)
Focus Outcome Area for the Student:
Employment
Housing Options
Community and Leisure Activities
College / Technical Education
Progress to date:
Process Progress
Identified 5 Year Transition Goal
Portfolio/Assessment
Baseline Data
Completed
In Progress
Not Started
Parent / Community Partner Involvement:
Parent / Family
Parent Organization
Community Mental Health
Michigan Rehab Services
College / University
Community Organizations (eg. YMCA, library, food banks, community rec, etc.)
OTHER (describe):
Who will be responsible for developing the poster for this student and presenting at the START
Leadership Day on April 26, 2012 :
Student #4
Student Initials:
District:
Key Contact:
(name / email)
Focus Outcome Area for the Student:
Employment
Housing Options
Community and Leisure Activities
College / Technical Education
Progress to date:
Process Progress
Identified 5 Year Transition Goal
Portfolio/Assessment
Baseline Data
Completed
In Progress
Not Started
Parent / Community Partner Involvement:
Parent / Family
Parent Organization
Community Mental Health
Michigan Rehab Services
College / University
Community Organizations (eg. YMCA, library, food banks, community rec, etc.)
OTHER (describe):
Who will be responsible for developing the poster for this student and presenting at the START
Leadership Day on April 26, 2012:
7. Please include at least one of the following about your RCN:
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Exciting / interesting project facts / data:
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Story or mini case study of how START training, supports and interventions has
created a significant improvement for a student and/or their family. (Please change
names for confidentiality or obtain permission)
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Other supporting information on a “success” story or product (e.g. news article,
newsletter, awards) from your RCN that supports effective practices.
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8. Describe your RCN / County / District Plan for sustainability without START
funding.
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9. In what way has START had a major systems-level impact on programming for
students with ASD in your region.
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START Training Data Tool
End of Year Trainings (March 2012 – June 2012)
RCN:
Training
Date
Topic
District
Number
Attended
Length of
Training
Trainers